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Outpatient procedure · APC 5163 · Surgery or procedure

Level 3 ENT Procedures

In 2024, Medicare and patients paid an average of $1,397 per procedure at 177 hospitals. Half of hospitals averaged between $1,285 and $1,472.

Also known as: Ear, nose and throat surgery, sinus surgery

National figures, 2024

Average payment per case
$1,397
Typical range (middle half of hospitals)
$1,285–$1,472
Medicare’s share
$1,10679% of the payment
Average billed charge
$6,801
Hospitals reporting
1775,010 procedures

Hospitals in North Dakota

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
North Dakota
Specific hospitals up to 10
Average payment across these 2 hospitals
$1,430National $1,397 · North Dakota $1,430
Too few hospitals to compare
An average across fewer than 3 hospitals says little about the area. Widen the distance or pick more hospitals.
Medicare procedures
48

2 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Level 3 ENT Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Sanford Medical Center FargoFargo, ND · CCN 35001131$1,430About average$1,138$1,808
Sanford Medical Center BismarckBismarck, ND · CCN 35001517$1,430About average$1,134$705

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

  • Average payment
  • Average billed charge
2020: 4,105 procedures at 155 hospitals · 2021: 4,526 procedures at 158 hospitals · 2022: 4,342 procedures at 167 hospitals · 2023: 4,579 procedures at 176 hospitals · 2024: 5,010 procedures at 177 hospitals
View data as a table
National average payment and billed charge for Level 3 ENT Procedures
Year of careAverage paymentAverage billed charge
2020$1,316$5,871
2021$1,344$5,442
2022$1,335$6,231
2023$1,313$6,690
2024$1,397$6,801

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 45 states
Average payment by state for Level 3 ENT Procedures, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont271$723$634–$710
Arizona231$774$767–$777
Kansas274$873$927–$1,239
Nebraska146$974$974–$974
Mississippi247$1,086$700–$1,074
New Hampshire3119$1,114$893–$1,306
Louisiana6103$1,159$1,099–$1,210
Virginia480$1,192$1,152–$1,336
Tennessee3116$1,203$1,232–$1,294
Ohio7358$1,223$1,050–$1,270
West Virginia597$1,241$1,211–$1,340
Illinois7217$1,243$1,025–$1,430
Idaho240$1,260$1,210–$1,335
Kentucky463$1,262$1,194–$1,344
Alabama140$1,273$1,273–$1,273
Oklahoma577$1,299$1,295–$1,314
Arkansas117$1,307$1,307–$1,307
South Carolina297$1,316$1,316–$1,316
North Carolina4130$1,320$1,300–$1,344
Missouri477$1,330$1,270–$1,439
Michigan7221$1,334$1,325–$1,360
Florida4170$1,347$1,296–$1,382
Pennsylvania14351$1,351$1,323–$1,452
Iowa398$1,352$1,271–$1,410
Georgia462$1,354$1,327–$1,415
New Mexico372$1,358$1,290–$1,381
Utah119$1,366$1,366–$1,366
Indiana7119$1,378$1,360–$1,384
Texas6153$1,383$1,365–$1,414
Maine344$1,393$1,381–$1,433
Wisconsin5167$1,418$1,389–$1,447
Montana371$1,427$1,414–$1,516
North Dakota248$1,430$1,430–$1,430
Colorado136$1,452$1,452–$1,452
Minnesota584$1,457$1,420–$1,447
South Dakota478$1,469$1,423–$1,531
District of Columbia114$1,472$1,472–$1,472
Washington6129$1,473$1,489–$1,539
Delaware113$1,530$1,530–$1,530
Oregon136$1,600$1,600–$1,600
Massachusetts9426$1,622$1,638–$1,638
New York8127$1,631$1,550–$1,732
Connecticut112$1,716$1,716–$1,716
New Jersey112$1,716$1,716–$1,716
California10548$1,911$1,813–$1,929

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.